Open Access. Powered by Scholars. Published by Universities.®
- Discipline
-
- Dermatology (4)
- Internal Medicine (3)
- Critical Care (2)
- Anatomy (1)
- Behavioral Medicine (1)
-
- Cardiovascular System (1)
- Diseases (1)
- Emergency Medicine (1)
- Health Services Research (1)
- Infectious Disease (1)
- Medical Anatomy (1)
- Medical Education (1)
- Medical Humanities (1)
- Medical Sciences (1)
- Mental and Social Health (1)
- Musculoskeletal Diseases (1)
- Musculoskeletal System (1)
- Obstetrics and Gynecology (1)
- Orthopedics (1)
- Other Mental and Social Health (1)
- Other Psychiatry and Psychology (1)
- Pathological Conditions, Signs and Symptoms (1)
- Psychiatric and Mental Health (1)
- Psychiatry and Psychology (1)
- Public Health (1)
- Sports Medicine (1)
- Sports Sciences (1)
- Keyword
-
- Melanoma (4)
- Dermoscopy (3)
- Dermatology (2)
- Maine (2)
- Primary Health Care (2)
-
- AIDS (1)
- Abdominal injection (1)
- Anxiety (1)
- Athletes (1)
- Benign (1)
- Case report (1)
- Cesarean (1)
- Contraception (1)
- Counseling (1)
- Curriculum (1)
- Depression (1)
- Dermatologists (1)
- EPPE (1)
- Family Medicine (1)
- Family Planning (1)
- HIE (1)
- HIV (1)
- Harm reduction (1)
- Hemangioma (1)
- Hypothermia (1)
- Hypoxic ischemic encephalopathy (1)
- Language barriers (1)
- Lesion (1)
- Miscarriage Management (1)
- Naloxone (1)
- Publication
- Publication Type
Articles 1 - 11 of 11
Full-Text Articles in Family Medicine
Obstetric Outcomes Assessment For New Mainers, Brendan Prast, Christina T. Holt, Amy Haskins, Debra Rothenberg
Obstetric Outcomes Assessment For New Mainers, Brendan Prast, Christina T. Holt, Amy Haskins, Debra Rothenberg
Costas T. Lambrew Research Retreat 2023
Introduction
• 13% of Portland’s population in 2019 was recent immigrants
• Numbers have increased, with >350 asylum-seeking families (1500 individuals) in 2022 in Portland alone
• Maine Medical Center (MMC) provides obstetrical care for more newly arrived, non-English speaking patients
• Total deliveries in 2020, 2021 (6192) broke records at MMC
• New Mainers at Increased risk for health disparities due to: language barriers, low socioeconomic status and stressors from a history of trauma
Increasing Naloxone Co-Prescribing Among At-Risk Individuals: Evaluation Of A Quality Improvement Project In A Large Health System, Sarah Hemphill Ba, Kristen Silvia Md, Marc D. Kimball Md
Increasing Naloxone Co-Prescribing Among At-Risk Individuals: Evaluation Of A Quality Improvement Project In A Large Health System, Sarah Hemphill Ba, Kristen Silvia Md, Marc D. Kimball Md
Journal of Maine Medical Center
Background: Naloxone availability and early administration is key in preventing death following opioid overdose. The CDC advises that naloxone should be made available to all at-risk individuals. In 2017, providers at Maine Medical Center noted that only 6% of at-risk patients had naloxone prescriptions
Methods: Included in this study were all patients of MaineHealth, a health system comprising 9 hospitals and 30 primary care practices, serving approximately 1.1 million patients. Between 2017 and 2020, we implemented several system-wide quality improvement interventions to increase rates of naloxone co-prescribing among at-risk individuals. Risk factors included prescribed opioids ≥50 morphine milligram equivalents, concurrent …
Finding The Right Scope: Dermoscopy For Primary Care, Peggy Cyr, Elizabeth Seiverling
Finding The Right Scope: Dermoscopy For Primary Care, Peggy Cyr, Elizabeth Seiverling
Maine Medical Center
Background
• Primary care physicians (PCPs) frequently address skin concerns and perform clinical skin examinations1
• For PCPs, the use of dermoscopy has been shown to increase the sensitivity for skin cancer diagnosis compared to unassisted examinations2,3
• Prior to this study, no formal consensus existed on the fundamental knowledge and skills that PCPs should have with respect to dermoscopy
Objectives
• To develop an expert opinion consensus statement on 2 proficiency standards for PCPs using dermoscopy
Impact Of Dermoscopy Training For Pcps On Nnb To Detect Melanoma, Madeline Prentiss, Kathryn Stevens, Henry Stoddard, Peggy Cyr, Laura Houk, Hadjh Ahrns, Elizabeth Seiverling
Impact Of Dermoscopy Training For Pcps On Nnb To Detect Melanoma, Madeline Prentiss, Kathryn Stevens, Henry Stoddard, Peggy Cyr, Laura Houk, Hadjh Ahrns, Elizabeth Seiverling
Maine Medical Center
The goal of this project was to analyze the impact of dermoscopy training on the number of melanocytic nevi needed to biopsy (NNB) to detect a melanoma in the primary care setting .
Pediatric Dermatology Econsult Program With Dermoscopy: Sub Analysis Of Infantile Hemangiomas, Peggy R. Cyr, Madeline Prentiss, Hadjh Ahrns, Abby Markham, Elizabeth V Seiverling
Pediatric Dermatology Econsult Program With Dermoscopy: Sub Analysis Of Infantile Hemangiomas, Peggy R. Cyr, Madeline Prentiss, Hadjh Ahrns, Abby Markham, Elizabeth V Seiverling
Maine Medical Center
Here we present an analysis of pediatric dermatology eConsults with emphasis on dermoscopy utilization and the impact on eConsult on infantile hemangiomas (IH) management.
Mapping Melanoma Risk And Locating High-Need Regions For Dermoscopy And Skin Biopsy Training, Calla Hladky, Madeline Prentiss, Henry Stoddard, Kathryn Stevens, Elizabeth Seiverling, Peg Cyr
Mapping Melanoma Risk And Locating High-Need Regions For Dermoscopy And Skin Biopsy Training, Calla Hladky, Madeline Prentiss, Henry Stoddard, Kathryn Stevens, Elizabeth Seiverling, Peg Cyr
Maine Medical Center
Background- Dermoscopy and skin biopsy trainings have been shown to help improve PCPs’ knowledge of and confidence in detecting skin cancer. The goal of this project was to determine where to focus training efforts in order to maximize our impact and reach regions that face the highest burden of melanoma in the state.
Effectiveness Of Two Frequently Used Screening Tools In Identifying Depression And Anxiety In Collegiate Athletes, Adriana C. Isacke Do, Amy Haskins Phd, Christina Holt Md, Msc, Williams Dexter Md, Facsm
Effectiveness Of Two Frequently Used Screening Tools In Identifying Depression And Anxiety In Collegiate Athletes, Adriana C. Isacke Do, Amy Haskins Phd, Christina Holt Md, Msc, Williams Dexter Md, Facsm
Journal of Maine Medical Center
Introduction: To determine whether the Electronic Pre-participation Physical Examination (EPPE), a proprietary and frequently used tool, is an effective method for depression and anxiety screening in the collegiate athlete population as compared to the Patient Health Questionnaire-4 (PHQ-4).
Methods: College athletes at a Division III university completed PHQ-4 questionnaires and a proprietary EPPE. Positive reponse rates to depression and/or anxiety for both questionnaires were collected and analyzed with a kappa (κ) statistic.
Results: Among 420 students, we found that 9 (2%) reported depression and/or anxiety via the EPPE. Of the 26 students (6%) who answered positively on the PHQ-4, we …
Parent Experience Of Hie And Hypothermia: A Call For Trauma Informed Care, Anna Sagaser, Betsy Pilon, Annie Goeller, Monica Lemmon, Alexa Craig
Parent Experience Of Hie And Hypothermia: A Call For Trauma Informed Care, Anna Sagaser, Betsy Pilon, Annie Goeller, Monica Lemmon, Alexa Craig
Costas T. Lambrew Research Retreat 2021
Objective:
To assess parents’ experience of communication with the medical team and involvement with their infant during HIE treatment.
Family Planning Outpatient Provider Survey; Evaluating Resident Confidence In Knowledge Of Family Planning Topics And Barriers To Providing Effective Care, Hannah Rosenfield, Kohar Der Simonian
Family Planning Outpatient Provider Survey; Evaluating Resident Confidence In Knowledge Of Family Planning Topics And Barriers To Providing Effective Care, Hannah Rosenfield, Kohar Der Simonian
Costas T. Lambrew Research Retreat 2021
The Question-
How do residents feel about their knowledge and skills in applying evidence- based care around contraception, miscarriage management and options counseling?
A Fatal Rectus Sheath Hematoma After A Myasthenia Crisis Case Report, Robert G. Michaud, Lesley B. Gordon
A Fatal Rectus Sheath Hematoma After A Myasthenia Crisis Case Report, Robert G. Michaud, Lesley B. Gordon
Journal of Maine Medical Center
Introduction: Rectus sheath hematomas (RSH) generally occur due to damage to the inferior epigastric artery. They are rare causes of abdominal pain or acute blood loss anemia, but are an important diagnostic consideration because they can be cryptic and are potentially fatal.
Clinical Findings: An 85-year-old female who had been admitted to the hospital for 10 days with a myasthenia crisis was found to be abruptly hypotensive with a tender abdominal mass in the left lower quadrant subtly crossing midline. She was on prophylactic anticoagulation during her hospitalization.
Main diagnosis, therapeutics, interventions, and outcomes: The patient was initially stabilized with …
Signs Of Psychosis Leading To A Diagnosis Of Progressive Multifocal Leukoencephalopathy: A Case Report, Bryan L. Walker, Christina Holt Md, Msc
Signs Of Psychosis Leading To A Diagnosis Of Progressive Multifocal Leukoencephalopathy: A Case Report, Bryan L. Walker, Christina Holt Md, Msc
Journal of Maine Medical Center
Introduction: Progressive multifocal leukoencephalopathy (PML) is a rare demyelinating process of the central nervous system that occurs in in the setting of severe immunocompromise. Patients with PML develop varying focal neurological deficits and mental status changes that have not been well-described previously.
Clinical findings: We present a patient who was found by security wandering the lobby of this hospital. He was oriented only to self and unable to state a reason for presentation. Medical records were limited and included a visit to an outside hospital that documented a past medical history of HIV infection. He exhibited multiple signs of psychosis …